# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presbyterian Sleep Lab Ballantyne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073703948
- **Authorized official:** MR. DINESH S. PAI (VP OF OPERATIONS)
- **Authorized official phone:** (704) 384-9113

## Contact information

- **Practice address:** 14215 BALLANTYNE CORPORATE PLACE, SUITE 240, CHARLOTTE, NC 28277-3670
- **Practice address phone:** (704) 316-5000
- **Practice address fax:** (704) 316-0508
- **Mailing address:** 1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1122
- **Mailing address phone:** (704) 384-9113
- **Mailing address fax:** (704) 316-0508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 06/09/2008